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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | MARON, ANDREW | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1215035134 | [sources] | |||
| Sector | DDS | [sources] | |||
| Status | not available | [sources] | |||
| Address | 16041 LOCH KATRINE TRAIL, LAKE WORTH, FL 33467 · 326 BROAD STREET, RED BANK, NJ 07011 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-1f55adf54a3bfdd132d768b6b2cbf1b145aee58e · us-mednj-0a5ecdcc391bc44c661214e0d05e06ece17ae2abFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 16041 LOCH KATRINE TRAIL, LAKE WORTH, FL 33467 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| 326 BROAD STREET, RED BANK, NJ 07011 | United States |